Secundy M G
Department of Community Health and Family Practice, Howard University College of Medicine, Washington, D.C. 20059.
J Med Philos. 1994 Oct;19(5):407-17. doi: 10.1093/jmp/19.5.407.
In this essay the Co-chair of Ethics Working Group 17 of the Health Care Task Force discusses the formation, organization processes and activities of the group, and provides an analysis and critique of the experience. It is suggested that the creation of the group and its inclusion in the process made a social statement which legitimized ethics as a significant part of public policy deliberations. At the same time, major questions are raised about the role of ethics in public policy arenas in which strategic compromise becomes the order of the day. Balanced and objective involvement may be illusory. Ethics, like informed consent, is a process, not an event and is ever evolving. Those who attempt to bring ethical considerations to the world of public policy have an obligation to think carefully about what should constitute an appropriate theoretical framework, make efforts to determine what is unique about ethics, and consider mechanisms for the various ethics disciplines to work effectively together. From this experience, the author developed a personal commitment to focus upon the critical importance of universal coverage for all Americans.
在本文中，医疗保健特别工作组第17道德工作组联合主席讨论了该小组的组建、组织流程和活动，并对这段经历进行了分析和批评。有人认为，该小组的设立及其在这一过程中的参与发出了一种社会信号，使道德规范成为公共政策审议的重要组成部分合法化。与此同时，人们对道德规范在公共政策领域中的作用提出了重大质疑，在这些领域中，战略妥协已成为日常准则。平衡和客观的参与可能是虚幻的。道德规范，就像知情同意一样，是一个过程，而非一个事件，并且一直在演变。那些试图将道德考量引入公共政策领域的人有义务仔细思考什么应构成一个适当的理论框架，努力确定道德规范的独特之处，并考虑各种道德学科有效协作的机制。从这段经历中，作者个人承诺将专注于全民医保对所有美国人的至关重要性。
